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Action Figure 2 Remove gloves from the box.

Action Figure 3 Holding the cuff of the glove, pull it into position.

Action Figure 7 Remove the first glove by firmly holding the outside of the glove wrist, then pull off the glove in such a way as to turn it inside out.

Action Figure 8 Remove the second glove by slipping the thumb of the ungloved hand inside the wrist of the glove and pulling it off while turning it inside out.

Action Figure 9 Dispose of used gloves.

Procedure guideline 3.4 Putting on and removing a disposable apron

Essential equipment

Disposable apron

Preprocedure

Action Rationale

1 Remove an apron from the dispenser or roll using clean hands and open it out. To make it easy to put on. E

Procedure

2 Place the neck loop over your head and tie the ties together behind your back, positioning the apron so that as much of the front of your body is protected as possible (see Action Figure 2a,2b). To minimize the risk of contamination being transferred between your clothing and the patient, in either direction. E

3 If gloves are required, don them as described in Procedure guideline 3.3. At the end of the procedure, remove gloves first. The gloves are more likely to be contaminated than the apron and therefore should be removed first to prevent cross-contamination (DH 2010b, C).

4 Remove the apron by breaking the ties and neck loop; grasp the inside of the apron and dispose of it (see Action Figure 4). The inside of the apron should be clean. E

Postprocedure

5 Dispose of used aprons as ‘hazardous infectious waste’, that is, into an orange waste bag, unless instructed otherwise by the infection prevention and control team. All waste contaminated with blood, body fluids, excretions, secretions and infectious agents thought to pose a particular risk should be disposed of as hazardous infectious waste. Orange is the recognized colour for hazardous infectious waste that does not require incineration and may be made safe by alternative treatment (DH 2006a, C).

6 After removing the apron, decontaminate your hands. Hands may have become contaminated (Pratt et al. 2007, C).

Action Figure 2a Place the neck loop of the apron over your head.

Action Figure 2b Tie the ties together behind your back, positioning the apron so that as much of the front of your body is protected as possible.

Action Figure 4 Remove the apron by breaking the neck loop and ties.

Procedure guideline 3.5 Putting on and removing a disposable mask or respirator

Essential equipment

Disposable surgical mask or respirator

Preprocedure

Action Rationale

1 Remove surgical-type masks singly from the box, or remove individually wrapped items from their packaging, with clean hands. To prevent contamination of the item or others in the box or dispenser. E

2 Remove glasses, if worn. Glasses will obstruct the correct positioning of the mask or respirator and may be dislodged and damaged. E

Procedure

3 Place the mask/respirator over nose, mouth and chin (see Action Figure 3). To ensure correct positioning. E

4 Fit the flexible nose piece over the bridge of your nose if wearing a respirator. To ensure the best fit. E

5 Secure the mask or respirator at the back of the head with ties or fitted elastic straps and adjust to fit (see Action Figure 5). To ensure the mask/respirator is comfortable to wear and remains in the correct position throughout the procedure. E

6 If wearing a respirator, perform a fit check. First, breathe in – respirator should collapse or be ‘sucked in’ to the face. Then breathe out – respirator should not leak around the edges. To ensure that there is a good seal around the edge of the respirator so that there is no route for non-filtered air to pass in either direction. Note that this check should be carried out whenever a respirator is worn and is not a substitute for prior fit testing (DH 2010b, C, E).

7 Replace glasses, if worn. To restore normal vision. E

8 At the end of the procedure, or after leaving the room in which the respirator is required, remove by grasping the